- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-03-08-27
|Project ID: 215220
|PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
|IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
|QA Service Level
|1 (Verified on 03/24/2021)
|Sample Taken Date
|Sample Unique Key
|Will the laboratory/organization for which you are a member perform testing on this material sample?
|Date that the sample was received by the laboratory/organization performing the testing
|A brief description of the sample
|6X12 PCC cylinder
|The quantity of what the sample constitutes
|From where was the sample collected
|First name of sampler or witnessed by
|Last name of sampler or witnessed by
|Title of sampler
|Assistant Structure Representative
|Telephone number of sampler
|Laboratory sample identification
|Linked DIME Sample ID
|The fabricator/manufacturer/facility name
|Transportation Laboratory (TL) Number
|Inspector Lot Number from the Transportation Laboratory (TL) Form
|Structure unique identifier
|The concrete mix design number
|The truck number from where the sample was collected
|The batch plant ticket number from where the sample was collected
|Concrete batch plant
|The fabricator/manufacturer designation for the sample
|A detailed description of where the material sample was collected
|Where the material sample would have been placed if not sampled
|From Lot No.
|Bag Lot No.
Sample File Attachments
|No results found.
Test File Attachments
DIME Test ID: 2022-03-08-27-1 CTM 521-June 2020 (Verified)